42 Ensure ® Pre-Surgery Clear Carbohydrate Drink Usage ENSURE PRE-SURGERY is a clear carbohydrate beverage specially designed to improve general well-being* both before and after surgery. • Drink 1 bottle up to 2 hours before surgery or as otherwise recommended by your health care provider. This should be sipped over a period of 5-10 minutes. • For oral use. • Use under medical supervision. Features • From the makers of the #1 doctor-recommended brand, Ensure ® . • Has a recommended dose of carbohydrates (50 g per serving), as indicated by the American Society for Enhanced Recovery (ASER) guidelines (45 g per serving), 1,† compared to the leading sport drinks ‡ , which contain an average of 18 g per serving. † • Meets the guidelines for preoperative fasting as stated by the European Society for Clinical Nutrition and Metabolism (ESPEN) Guidelines: Clinical Nutrition in Surgery. 2,§ • Meets the guidelines for preoperative fasting as stated by the American Society of Anesthesiologists (ASA) Practice Guidelines for Preoperative Fasting. 3,|| • A good source of the antioxidants zinc and selenium. • Fat-free. • Kosher, halal, gluten-free, suitable for lactose intolerance. Precautions • Not for sole-source nutrition. • Not for IV use. Availability List No. NDC Format Code — 10.0-fl oz ( 296.0-mL) Bottle; 12/case Strawberry . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65044 . . . . . . . . . . . 70074-0650-44 — 10.0-fl oz ( 296.0-mL) Bottle; 16/case Strawberry . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66437 . . . . . . . . . . . 70074-0650-40 * Thirst, hunger, and anxiety before surgery and nausea and vomiting after surgery. † Ensure Pre-Surgery has not been reviewed or endorsed by the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI). ‡ The leading regular sport drinks per Nielsen (Grocery). § Ensure Pre-Surgery has not been reviewed or endorsed by the European Society for Clinical Nutrition and Metabolism (ESPEN). || Ensure Pre-Surgery has not been reviewed or endorsed by ASA. 1 Wischmeyer PE, et al. Anesth Analg. 2018;126(6):1883-1895. 2 Weimann A, et al. Clin Nutr. 2017;36(3):623-650. 3 American Society of Anesthesiologists. Anesthesiology. 2017;126(3):376-393.